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黄玉, 李瑛, 钱卫冲, 赵金扣, 吴玉磷, 周健, 巴磊, 潘红星. 农村已婚妇女高血压社区干预效果评价[J]. 中国公共卫生, 2008, 24(6): 645-647. DOI: 10.11847/zgggws2008-24-06-04
引用本文: 黄玉, 李瑛, 钱卫冲, 赵金扣, 吴玉磷, 周健, 巴磊, 潘红星. 农村已婚妇女高血压社区干预效果评价[J]. 中国公共卫生, 2008, 24(6): 645-647. DOI: 10.11847/zgggws2008-24-06-04
HUANG Yu, LI Ying, QIAN Wei-chong, . Evaluation on the effects of community-based intervention on hypertension among rural women[J]. Chinese Journal of Public Health, 2008, 24(6): 645-647. DOI: 10.11847/zgggws2008-24-06-04
Citation: HUANG Yu, LI Ying, QIAN Wei-chong, . Evaluation on the effects of community-based intervention on hypertension among rural women[J]. Chinese Journal of Public Health, 2008, 24(6): 645-647. DOI: 10.11847/zgggws2008-24-06-04

农村已婚妇女高血压社区干预效果评价

Evaluation on the effects of community-based intervention on hypertension among rural women

  • 摘要: 目的 评价针对女性的高血压社区干预效果。方法 对江苏省太仓市沙溪镇和如东县马塘镇的已婚妇女进行基线调查,在基线调查的基础上实施健康教育、健康促进、对高血压病人进行治疗指导、对育龄妇女进行避孕药使用前健康筛查和使用期间定期随访等干预措施,一年后进行终点调查,与基线调查比较评估干预效果。结果 (1)干预后女性高血压控制率从2.26%上升至26.21%(P<0.0001)。(2)干预效果有明显地区差异,太仓市的高血压控制率上升幅度显著高于如东县(P=0.0376),患高血压风险显著下降(P=0.0034);而健康教育效果则如东县优于太仓市(P<0.001)。(3)高血压人群血压均值收缩压从(142.38±12.84)mmHg降至(139.05±19.24)mmHg(P<0.0001),舒张压从(90.87±7.25)mmHg降至(83.67±9.92)mmHg(P<0.001)。(4)干预效果在育龄人群、非农民和无高血压家族史人群中较好。结论 针对女性的高血压社区干预措施效果显著,控制率显著升高,血压均值均有下降。

     

    Abstract: Objective To measure the effectiveness of community intervention on hypertension among rural women.Methods Intervention measures,including treatment guidance,health education,health promotion,carrying outhealth screening before using oral contraceptives and blood pressure monitoring after using it among child-bearing age women were carried out based on the results of a baseline investigation.Final investigation was performed one year later and comparison with baseline results was done.Results (1)Control rate of hypertension increased significantly from 2.26% to 26.21%(P <0.000 1).(2)The effect of intervention varied with area.Increment of control rate of hypertension in Taicang area was higher than in Rudong area(P=0.037 6),and the risk of hypertension in Taicang area decreased compared with Rudong area(P=0.003 4).However,health education effect in Rudong area was better than in Taicang area(P<0.000 1).(3)The mean blood pressure of baseline decreased to normal level from(142.38±12.84)mmHg(SBP),(90.87±7.25)mmHg (DBP)at the begining to(139.05±19.24)mmHg(SBP),(83.67±9.92)mmHg(DBP)at the end of the study(P< 0.000 1).(4)The child-bearing age women,people who were not farmers,and people without family history of hypertension had a better intervention effect than people who were older,farmers and with family history of hypertension.Conclusion The beneficial effect of the intervention among rural women was confirmed in this study.The control rate of hypertenalon increased significantly,the mean blood pressure decreased to normal level.

     

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